Chapter 45: Nursing Care of the Child With an Alteration in Tissue Integrity/Integumentary Disorder

The nurse is discussing skin disorders with a group of caregivers. Which caregiver statement indicates an understanding of tinea capitis? "My husband had that once and his groin itched so much." "I always tell my daughter to use her own hairbrush." "My son got that infection when he was at the swimming pool." "That is an infection that you get under your fingernails."

"I always tell my daughter to use her own hairbrush."

A topical corticosteroid is prescribed for a child with contact dermatitis. Which statement by the mother would indicate the teaching was successful? "I should not cover the area with plastic wrap after applying the cream." "I need to shake the preparation before using it." "I should use the highest-potency steroid cream I can find." "I should apply the medicine at bedtime and rinse it off in the morning."

"I should not cover the area with plastic wrap after applying the cream."

The nurse is caring for an infant with diaper dermatitis. Which statement by the child's parent would indicate a need for further education? "I can still use fragrance-free diaper wipes." "I will use a warm blow dryer on the rash area for a few minutes every time I change her diaper." "I can leave her diaper off when she naps each afternoon." "I will use rubber pants over the cloth diapers in the future."

"I will use rubber pants over the cloth diapers in the future."

A 6-year-old child has been diagnosed with tinea capitis. Which statement(s) by the parents demonstrate the need for further teaching? Select all that apply. "We can use selenium sulfide shampoo to decrease contagiousness." "We should not expect our child to suffer hair loss." "We should wash sheets and towels in hot water to decrease the spread to other family members." "We should have our child take the prescribed antifungal medication until symptoms have resolved." "Our child can return to school 24 hours after taking the antifungal medication."

"Our child can return to school 24 hours after taking the antifungal medication." "We should not expect our child to suffer hair loss." "We should have our child take the prescribed antifungal medication until symptoms have resolved."

An adolescent experiencing contact dermatitis reports experiencing pruritis. What intervention will the nurse recommend to relieve the itching? Keep the area covered with clothing. Bathe with a product that is oatmeal-based. Use a fragrance-free moisturizer. Apply calamine lotion if the lesion is weeping.

Bathe with a product that is oatmeal-based.

A 10-year-old child is brought to the clinic by the parent. Assessment reveals small circular patches of hair loss on the scalp. The nurse suspects which condition? tinea cruris tinea faciei Ttnea corporis tinea capitis

tinea capitis

The nurse is speaking with the mother of a child diagnosed with contact dermatitis from poison ivy. Which statement by the mother indicates a need for further education? "As long as he takes a shower as soon as he gets inside, he shouldn't get this again." "I will need to make sure the dog gets a bath if he goes in the woods." "When he plays in the woods again, I will make sure he wears long pants and long sleeves." "I can buy a medicine to put on him before he goes out to prevent him from getting this again."

."As long as he takes a shower as soon as he gets inside, he shouldn't get this again."